Shane Cook, M.D.
Individual provider Active NPI Orthopaedic Hand Surgery Physician · Des Moines, IA
NPI 1831483536 · NPPES record last updated Dec 29, 2022
Key facts
- NPI
- 1831483536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Hand Surgery Physician 207XS0106X
- License
- 44405 (IA)
- Practice address
- 1301 Pennsylvania Ave Ste 213
Des Moines, IA 50316-2365 - Phone
- (515) 224-1414
- Fax
- (515) 224-5140
- NPI assigned
- May 31, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Hand Surgery
- Education
- University of Colorado School of Medicine, Denver, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Des Moines Orthopaedic Surgeons PC
Practice addresses (Care Compare)
1301 Pennsylvania Ave
Suite 213
Des Moines, IA 50316-2365
Phone (515) 224-1414
Hospital & facility affiliations
- Unitypoint Health - Des Moines Iowa Methodist Medi
- Dallas County Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170713003129 | IA | Practitioner - Hand Surgery | 3274774948 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44405 | IA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Des Moines Orthopaedic Surgeons PC | Current |
Accepting new patients | |
| Des Moines Orthopaedic Surgeons PC | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
3625 N Ankeny Blvd
Ste J
Ankeny, IA 50023
Phone (515) 965-2200
350 NE 36th St
Ankeny, IA 50021
Phone (515) 224-1414
1301 Pennsylvania Ave
Ste 213
Des Moines, IA 50316
Phone (515) 224-1414
4850 100th St
Urbandale, IA 50322
Phone (515) 224-1414
6001 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-1414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 44405 | IA | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 44405 | IA | Yes |
Addresses
Primary practice location
1301 Pennsylvania Ave Ste 213
Des Moines, IA 50316-2365
Mailing address
1301 Pennsylvania Ave Ste 213
Des Moines, IA 50316-2365
Phone (515) 224-1414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831483536 | Medicaid | IA |
Other providers in Des Moines, IA
- Jennifer S Cook
- Joshua Benjamin Cook
- Kristina Elizabethann Cook
- Lindsay Cook
- Ryan Douglas Cook
- Sara Marie Coon
- Amanda Eileen Cooney
- Peter Edward Coonrod
- Alexis Cooper
- Barry Cooper
All providers in Des Moines, IA · Orthopaedic Hand Surgery Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.